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I don't understand how this makes him more likable or sympathetic. I find it odd that people treat mental illnesses as something separate from a person that isn't reflective of the "real" them. But this isn't like some parasite was controlling his brain, his mental illnesses, if they existed, were just as intrinsic to who he was as his good qualities. I don't see how this is different from me saying "I'm really a nice guy I'm just suffering from untreated assholeism"
And indeed, most working class people treat 'being crazy' as a major character flaw akin to being cruel or lazy or greedy or whatever, while having some sympathy for those who are stupid or disabled. What goes into what bucket of 'how your mind works and you can't help it vs you need to fix that' varies from viewpoint to viewpoint and the progressive view that having a mental illness is an excuse for whatever awful thing and makes you sympathetic in the same way as a disabled person is is not only not universal, it is in this redneck's perspective actively harmful- people with the sorts of minor mental illnesses that could be treated if they'd take some damn responsibility are discouraged from doing so, instead they just harm others, even if minorly, with impunity.
Seriously lots of these 'mentally ill' people just need to go to church and call their mom.
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With bi-polar though for example, being on medication can literally turn you into a different person. My exes mother had bipolar and on medication she was a sweet Christian lady who baked cakes and wouldn't hurt a fly. Off it she was a foul mouthed, paranoid who lacked impulse control and used to beat her kids with metal coat hangers.
Which was the "real" her? The difference between a mental illness and just being an asshole, is an asshole can choose to not be so. With a mental illness you can't.
This should really be “With a mental illness, it is much more challenging not to.” I don’t give a lot of sympathy to people who use excuses like BPD or autism or whatever else to be a jerk.
Some people are dramatically helped by medication (see using Ritalin to make it easier to have executive function with AHDH) - the consequences of not having executive function should not be inflicted on others. If you struggle to remember to (for example) bring both children to school, then put a note on the doorknob, or the coffee machine, or wherever else you will definitely look. Too often, I see people who claim (for example) that they have to make a mess for their partner to clean up, but somehow the negative consequences of their actions never seem to land on themselves.
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All of this below is somewhat moot in the sense that I'm not convinced that Ellison had Bipolar.
Disturbances in cognition exist on a spectrum from "this is not recognized pathology and is just my personality structure" (like a preference for scrambled eggs, a love of baseball, or being an asshole to your girlfriend because you are insecure about your small dick) to "this is purely something with an organic cause and blaming the person for their behavior is asinine" (a classic example benign example is a granny who is violent in the hospital because she's delirious and thinks she's is in a Nazi camp because of a UTI, a classic scarier example is someone who engages in a mass shooting because they have a golf ball sized tumor pressing on a few key structures in their brain).
Cases of the former are much more legitimate to blame (whatever that means) if love of eggs cause problems. Realistically insecurity about the small dick requires some sort of sex therapy or something if the person wants to stop hurting others and have a bit better of an experience of life.
Murder granny gets put in restraints and we treat her UTI and then everyone goes about their business and forgives her afterwards.
When it comes to things in the middle of those two extremes (that is, classic mental illness) we have a similar range. On one end you have personality disorders, like borderline personality disorder. These are in truth diseases of personality construction and really tease at what a "disease" is. It's easy to not feel bad for them (although I encourage you to) and this is true to the point where people don't want to give the diagnosis because of stigma (they give bipolar instead, relevance to Ellison?).
At the other end is one of: schizophrenia, schizoaffective disorder, and bipolar disorder. You could debate which one and they are certainly interesting and have interesting impacts on how much sympathy and guilt we should feel (what do you mean a symptom of the disease is that he doesn't think he has a disease and that's why he doesn't take medication and then ends up hurting people?),
True Bipolar 1 with psychotic features is the most stark here. Again I doubt Ellison had this but this the most sympathy you can have. This is a person with a monster inside them that comes up abruptly and severely because they run a 5k and their metabolism of their lithium changes.
They go from total normal nice person to a violent felon who doesn't sleep, spends their entire family's money and does X,Y, and Z ends up in jail with HIV and then gets started on medication and then goes completely back to normal.
Some people do things that put them at higher rate of an episode, but many people commit no mistakes and still lose.
Living with that should increase sympathy, no?
Most people aren't as stark as the straw patient above, but that is what it can be like.
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